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1174895890
SUPER YOUTH OF NEVADA
LAS VEGAS, NV
NPI
1174895890
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Entity Type
Organization
Authorized Contact
DEMETRIUS JEMIL HUNTER
Manager
702-748-1508
Organization Subpart ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2012-01-27
Last Update Date
2012-04-11
Business Address
SUPER YOUTH OF NEVADA
867 WORRELL AVE
LAS VEGAS, NV 89123-3183
Phone number: 702-748-1508
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Mailing Address
SUPER YOUTH OF NEVADA
867 WORRELL AVE.
LAS VEGAS, NV 89123-3183
Phone number: 702-748-1508
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